Ese hari igihe wumva ikintu kirimo kumanuka mu gitsina cyawe, nk'uburemere cyangwa igitutu? Cyangwa wumva utameze neza iyo wicaye, nk'aho wicaye ku gapira gato? Ushobora kuba ari wowe wenyine ubabara muri ibi bintu. Iki kibazo gishobora kuba ku bagore benshi. Uyu munsi rero turimo kuvuga ku kubagwa bishobora kuba igisubizo kuri ibi.
Mu magambo make, Colporrhaphy ni iki?
Colporrhaphy ni uburyo bwo kubaga kugira ngo hakosorwe intege nke mu nkuta z'igitsina cyawe. Akenshi bikorwa nk'uburyo bwo kuvura indwara yitwa "pelvic organ prolapse" (POP).
Tekereza, niba urukuta rwo mu nzu yacu rucitse intege, ruzagorama imbere, nk'aho rugerageza gusohora ibintu. Ingingo ziri mu kibuno cyawe, nk'uruhago, nyababyeyi, n'umura, zifatwa n'inkuta z'igitsina cyawe n'imitsi ibikikije. Uko igihe kigenda gihita, cyane cyane nyuma yo kubyara kandi uko ugenda usaza, izi nyama n'ingingo biracika intege. Hanyuma izo ngingo zitangira kumanuka, cyangwa zigasunika mu gitsina. Ibyo ni byo twita `(Pelvic Organ Prolapse - POP)`.
Kubaga indwara ya Colporrhaphy bikomeza imitsi n'ingingo zacitse intege no gusubiza ingingo yo hasi mu mwanya wayo wa mbere.
Hari ubwoko bubiri bw'ingenzi bwo kubaga indwara ya colporrhaphy:
Bitewe n'ikibazo cyawe, muganga wawe ashobora gufata icyemezo cyo gukora bumwe muri ubu bwoko bubiri, cyangwa wenda byombi hamwe.
| Ubwoko bw'ukubaga | Ni iki kibaho gusa |
|---|---|
| Gusana inkuta z'imbere (Anterior Colporrhaphy) (Byitwa kandi gusana cystocele) | Iyo urukuta ruri hagati y'uruhago rwawe n'igitsina gabo rucitse intege, uruhago rumanuka rugana ku rukuta rw'imbere rw'igitsina gabo. Ubu buryo bwo kubaga bukomeza urwo rukuta rw'imbere kandi bugasubiza uruhago mu mwanya warwo ukwiye. |
| Indwara yo mu gituza (Posterior Colporrhaphy) (Gusana urukuta rw'inyuma) (Izwi kandi nk'ivugurura rya Rectocele) | Iyo urukuta ruri hagati y'inda n'igitsina rucitse intege, inda n'igituba bimanuka bijya ku rukuta rw'inyuma rw'igitsina. Ubu buryo bwo kubaga bufasha gukomeza urukuta rw'inyuma no gusubiza inda n'igituba mu mwanya wabyo. |
Ese iki ni igikorwa gikomeye cyo kubagwa? Ni nde ugikeneye?
Yego, kubagwa kwa colporrhaphy ni igikorwa gikomeye . Ariko biroroshye cyane kandi bimara igihe gito cyo gukira kurusha kubagwa mu nda, kuko bikorwa byose binyuze mu gitsina.
Si buri wese ukeneye ubu buryo bwo kubagwa. Muganga wawe azasuzuma ibintu byinshi mbere yo kukugira inama yo kubagwa.
Ubusanzwe, uzafatwa nk'ukwiriye kubagwa iyo:
- Niba ubundi buryo bwo kuvura budakora: Mbere yo gutekereza kubagwa, muganga wawe ashobora kukugira inama yo kuvura ubundi buryo bworoshye. Urugero, imyitozo ngororamubiri yo mu kibuno (Kegels), ibikoresho nka pessaries, cyangwa ubuvuzi bw'imisemburo. Niba ibi bidafashije ibimenyetso byawe, kubagwa bishobora kuba intambwe ikurikiraho.
- Niba ibimenyetso bibangamira ubuzima bwawe: Hari abantu bumva batamerewe neza nubwo baba bafite iyi ndwara ya "(POP)". Ariko niba akenshi ugorwa no kugenzura inkari cyangwa umwanda wawe, niba ubabara mu gihe cy'imibonano mpuzabitsina, niba ibi bintu bituma ubuzima bwawe bwa buri munsi butiyongera, kubagwa bishobora gukuraho ubwo bubabare.
- Niba udateganya kubyara abandi bana: Iki ni ikintu cy'ingenzi cyane. Niba ubyaye undi mwana nyuma yo kurwara indwara yo mu nda, imitsi izongera gucika intege, bikongera ibyago byo kongera kugira ikibazo. Kubwibyo, ni byiza kubagwa niba ubona ko umuryango wawe wuzuye.
Ni iki kibaho mbere no mu gihe cyo kubagwa?
Nyuma yo kwemera kubagwa, muganga azagusobanurira ibyiza byose, ibibi n'ingaruka zose.
Mbere yo kubagwa
Muganga wawe azakora ibi bikurikira:
- Vugana witonze ku mateka yawe yose y'uburwayi n'ibimenyetso by'uburwayi bwawe.
- Isuzuma ry'ikibuno rikorwa n'intoki ebyiri kugira ngo hamenyekane neza aho intege nke ziri n'ingingo zimanuka.
- Hari igihe, bibaye ngombwa, bashobora gutumiza ikintu nka MRI scan kugira ngo barebe uko imitsi imeze, ariko ibyo si ko buri gihe biba ngombwa.
- Imiti igabanya ubukana bw'indwara itangwa ku munsi wo kubagwa kugira ngo igabanye ibyago byo kwandura.
- Niba waramaze gucura, ushobora gusabwa gukoresha amavuta arimo imisemburo ya ``estrogen''' kugira ngo ubyibushye inyama zo mu gitsina kandi byoroshye kubagwa.
Mu gihe cyo kubaga
Ubusanzwe ubu buvuzi bumara iminota 30 kugeza ku isaha imwe cyangwa irenga, bitewe n'ingano y'aho hagomba gusanwa.
1. Anesthesia: Anesthesia itangwa kugira ngo ntugire ububabare ubwo aribwo bwose. Ishobora kuba "anesthesia rusange" (general anesthesia), igusinzira burundu, cyangwa "anesthesia yo mu gace" (regional anesthesia), igabanya gusa umugongo wo hasi.
2. Kwitegura: Amaguru yawe azashyirwa ku nkunga zihariye kugira ngo woroherwe no kubagwa. Hazashyirwaho catheter kugira ngo ikure inkari zawe.
3. Kubaga: Muganga atema gato mu gitsina akajya ahantu imitsi n'ingingo byacitse intege. Hanyuma, ingingo zikomeye zirahuzwa hamwe maze agace gakomezwa n'imiti ishobora gushonga . Amaherezo, agace gafunga.
Ni iki ushobora kwitega nyuma yo kubagwa?
Bitewe n'ubwoko bw'iki gikorwa cyo kubagwa, ushobora gutaha uwo munsi cyangwa ukarara mu bitaro ijoro ryose.
Ibintu byo kwitega nyuma yo kubagwa:
- Agapaki gato gashobora gushyirwa mu gitsina kugira ngo kamenye amaraso mu masaha 24 ya mbere.
- Katheteri ikurwaho mu gihe cy'umunsi umwe cyangwa ibiri.
- Imiti yoroshya intebe itangwa kugira ngo idatera igitutu ku mishumi no kugira ngo yorohereze intebe.
- Ushobora kugira amabara make cyangwa ukumva amabara meza mu gitsina cyawe mu gihe cy'ibyumweru bike. Ibi ni ibisanzwe kuko imishono iri imbere ishonga.
- Hari ububabare bushobora kubaho mu gitsina, bugahita bugabanuka mu byumweru 4-6.
Igihe cyo gukira n'ibintu ugomba kumenya
Bishobora gufata amezi agera kuri atatu kugira ngo umuntu akire neza. Muri iki gihe, ni ngombwa cyane gukurikiza amabwiriza ya muganga wawe neza.
Wibuke ko ugomba guha umubiri wawe umwanya wo gukira. Ntukihutire.
Ibintu bigomba gukurikizwa:
- Mu byumweru 6-8: Irinde guterura ibintu biremereye (birenze ibiro 2-3), gukora imyitozo ngororamubiri isaba imbaraga nyinshi, gukora imibonano mpuzabitsina, gukoresha tampons, kwiyuhagira mu bwogero no kwiyuhagira mu bwogero. Fata douche.
- Mu byumweru 6: Irinde kunanirana mu gihe cyo kuva mu nda. Fata umuti neza neza nk'uko muganga wawe yabigutegetse.
- Nyuma y'ibyumweru 3-4: Ushobora gutangira gukora imirimo isanzwe nko kugenda n'amaguru no gutwara imodoka. Niba akazi kawe kadasaba imbaraga nyinshi, ushobora kujya ku kazi. Biganireho na muganga wawe.
Ni izihe nyungu n'ingaruka z'ubu buvuzi?
Akamaro gakomeye ni uko uzaba utagize ikibazo cyo kubabara bitewe n'indwara ya `(POP)`. Ibi kandi bishobora gukorwa mu buryo bworoshye, utiriwe ubagwa cyane urimo gukata inda. Nyuma yo kubagwa, ushobora no kugira ubuzima busanzwe bw'imibonano mpuzabitsina.
Nkuko bigenda mu kubaga kose, hari ingaruka zimwe na zimwe, ariko ni gake cyane.
- Kuva amaraso menshi cyane.
- Ingaruka zo kuvura ikinya.
- Kwandura ibikomere.
- Indwara zo mu nzira y'inkari (UTIs).
- Kwihagarika impatwe.
- Kubabara mu gihe cy'imibonano mpuzabitsina.
Muganga wawe azagusobanurira neza ibi byose. Mubaze ikibazo cyangwa impungenge ushobora kuba ufite.
Ubutumwa bwo kujyana mu rugo
- Colporrhaphy ni ukubaga kugira ngo hakomezwe inkuta z'igitsina cy'umugabo zacitse intege kandi hagasubizwa ingingo zo hasi mu mwanya wazo ukwiye.
- Ubu buryo bwo kubaga bugirwa inama gusa iyo ufite ibimenyetso bikubangamira mu buzima kandi bidashobora gukumirwa n'ubundi buryo bworoshye bwo kuvura.
- Bifata amezi menshi kugira ngo umuntu akire neza nyuma yo kubagwa. Muri iki gihe, ni ngombwa cyane gukurikiza amabwiriza ya muganga witonze.
- Niba ufite ubu burwayi nk'ubu, ntugatinye cyangwa ngo utinye kubonana na muganga w’inzobere no kuvugana na we. Hari uburyo bwiza bwo kuvura ibi bibazo.
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